How much rates vary
Facilitymedian $170 · 10th to 90th $87 to $380Professionalmedian $166 · 10th to 90th $87 to $525
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $537.03 | Professional | None (both parts) | $87.10 | $87.10 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $93.33 | $234.42 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $251.19 Typical High $380.19 | Facility | None | $223.87 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $93.33 | $162.18 | $245.47 |
DeanCare Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $190.55 | Facility | None | $77.62 | $100.00 | $190.55 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $147.91 | $173.78 | $234.42 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $1,348.96 | Facility | None | $77.62 | $117.49 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $120.23 | $338.84 | $537.03 |
Network Health Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $194.98 | Facility | None | $131.83 | $131.83 | $194.98 |
Network Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $223.87 | Professional | None (both parts) | $63.10 | $104.71 | $223.87 |
Prevea360 Setting Facility Modifier None Typical Low $77.62 Median $100.00 Typical High $190.55 | Facility | None | $77.62 | $100.00 | $190.55 |
Quartz Setting Professional Modifier None Typical Low $77.62 Median $154.88 Typical High $281.84 | Professional | None | $77.62 | $154.88 | $281.84 |
Quartz Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $204.17 | Professional | None (both parts) | $93.33 | $93.33 | $204.17 |
Security Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Security Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $199.53 | $302.00 | $549.54 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $97.72 | $208.93 | $407.38 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $269.15 | Professional | 52 · Reduced service | $43.65 | $43.65 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $107.15 | Professional | 53 · Discontinued | $17.38 | $17.38 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.18 Typical High $81.28 | Professional | 55 · Aftercare only | $13.18 | $13.18 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $53.70 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $144.54 | $169.82 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $467.74 | $467.74 | $467.74 |
Where Wisconsin sits
The same service costs 2.9 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 5th of 51
$166
AK $219FL $75.86
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.